Abstract

I appreciate the comments of Škrlec and colleagues regarding my recently published article. 1 Kawakatsu M. Free medialis pedis venous flap transfer for reconstruction of volar finger defects: clinical application and esthetic evaluation. J Plast Reconstr Aesthet Surg. 2019; 72: 459-466 Abstract Full Text Full Text PDF PubMed Scopus (4) Google Scholar I agree that it is useful to reconstruct volar finger defects with a free toe pulp flap, which is equal to a free hemi-pulp flap elevated from the great toe, especially in patients with finger pulp defects. However, the reason I agree is not because the free toe-pulp flap can obtain superior sensation and durability, but is because it is easier to cosmetically reconstruct the shape of the finger pulp with an excellent texture and color match. Re “Free medialis pedis venous flap transfer for reconstruction of volar finger defects: Clinical application and esthetic evaluation”Journal of Plastic, Reconstructive & Aesthetic SurgeryVol. 72Issue 9PreviewKawakatsu1 reports using venous flow-through flaps from the medial plantar region to cover palmar soft tissue finger defects. We complement him on the impressive results and the technical skill demonstrated. Full-Text PDF

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